SFR-113 Ongoing weight loss management with endoscopic gastric plication using the STOMAPHYX™ device: Is it achievable?

1 year follow-up. Data was collected prospectively and all operative complications and re-operations recorded. Results: The median follow-up was 4 years. To date, 77 complications have required re-operation (3.1 %). There were 2 complete slippages (emergency surgery performed). There were 21 partial slippages or pouch dilatations which were treated by band deflation and band re-positioning on elective operating lists. 4 erosions were treated by removal and subsequently replaced in 2 cases. 5 bands were exchanged due to wrong size selection. There were 8 band infections (all removed) and in 7 cases re-banded 6 months later. There were 9 port rotations. Band punctures were seen in 21 cases, 8 of which were related to port damage, 5 caused by tubing punctures and 8 balloon leaks. One band had spontaneously opened and 2 had fractured near the locking mechanism. In all these cases, repair or replacement was performed. 4 re-operations for band mal-positioning were performed in super-obese patients where the band had been fastened around the lesser curve fat. Conclusion: There is an inevitable re-operation rate with gastric banding which will increase with time. This rate is low and all re-operations can be performed either under local anaesthetic or by laparoscopy.